| NPI | 1992970008 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment | |
| 246ZB0301X Specialist/Technologist, Other Biomedical Engineering | |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-05-06 |